采用 Masquelet 技术重建第一跖骨大面积软组织和骨缺损：病例报告。
Reconstruction of an extensive soft tissue and bone defect of the first metatarsal with the use of Masquelet technique: a case report.
机构信息
Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, Leeds General Infirmary, Clarendon Wing Level A, Great George Street, LS1 3EX, Leeds, UK.
出版信息
Foot Ankle Surg. 2014 Jun;20(2):e19-22. doi: 10.1016/j.fas.2013.11.006. Epub 2013 Dec 16.
UNLABELLED
The literature regarding reconstruction of foot bone defects is limited. The purpose of this study is to present a case report with an extensive bone defect of the first metatarsal bone which was treated with the use of the induced membrane technique. A 53-year-old man, with comminuted foot grade IIIb open fracture was treated with the Masquelet procedure. At 14 months follow-up, clinical and radiological assessment of the foot revealed osseous healing and no signs of infection, osteolysis or hardware failure. At 18 months follow-up, the patient had no pain and returned to his usual daily activities. The Masquelet procedure provides an effective method of treatment of extensive bone defects of the foot. It can restore the normal length and metatarsal arch minimizing the risk of complications that occurs with other surgical procedures.
LEVEL OF EVIDENCE
Level V, case report.
未加标签
足部骨缺损的文献报道有限。本研究的目的是报告一例第一跖骨广泛骨缺损患者，采用诱导膜技术治疗。一名 53 岁男性，足部 IIIb 级粉碎性开放性骨折，采用 Masquelet 手术治疗。随访 14 个月时，足部的临床和影像学评估显示骨愈合，无感染、骨溶解或内固定失败的迹象。随访 18 个月时，患者无疼痛，恢复日常活动。Masquelet 手术为足部广泛骨缺损提供了一种有效的治疗方法。它可以恢复正常的长度和跖骨弓，最大限度地降低其他手术方法引起的并发症风险。
证据等级
V 级，病例报告。
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